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Gateway Foundation, Inc.
Children's Substance Abuse Rehabilitation Facility in Lake Villa, Illinois
NPI 1285883710

Gateway Foundation, Inc. is a Children's Substance Abuse Rehabilitation Facility based in Chicago, IL and is specialized in Substance Abuse Treatment, Children. Gateway Foundation, Inc. practices in Lake Villa, IL. The NPI Number for Gateway Foundation, Inc. is 1285883710 and holds a License No. A-0538-0021-A (Illinois).

The current practice location address for Gateway Foundation, Inc. is 25480 W Cedar Crest Ln, Lake Villa, IL and can be reached out via phone at 877-505-4673 and via fax at 847-356-3033.

Location: 25480 W Cedar Crest Ln, Lake Villa, IL, 60604-4466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285883710
Provider Name
Gateway Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
25480 W Cedar Crest Ln, Lake Villa, IL, 60604-4466
Phone Number
877-505-4673
Fax Number
847-356-3033
Provider Enumeration Date
09/09/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
25480 W Cedar Crest Ln
City
Lake Villa
State
Illinois
Zip
60046-9744
Phone Number
877-505-4673
Fax Number
847-356-3033
person
Provider Business Mailing Address Details
Address
25480 W Cedar Crest Ln
City
Lake Villa
State
Illinois
Zip
60046-9744
Phone Number
877-505-4673
Fax Number
847-356-3033
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
A-0538-0021-A (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
C/A-0538-0021-A (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
A-0538-0021-A (Illinois)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
A-0538-0021-A (Illinois)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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